NPI | 1497111561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 124760) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT124760) |
Enumeration Date | 2016-01-05 |
Last Update Date | 2022-12-29 |